Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | ME0042999 | FL |
N | 111NI0900X | Internist | ME0042999 | FL |
Y | 207RC0200X | Critical Care Medicine | ME42999 | FL |
NPI | 1063571909 |
---|---|
Provider Name | Alejandro Jose Vilasuso |
First Address | Miami, FL 33136 |
Second Address | Miami, FL 33196-6408 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/12/2006 |
Last Update Date | 26/07/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D77106 | (02) |